健康体检人群睡眠质量与臂-踝脉搏波传导速度的相关分析

Correlation between sleep quality and brachial-ankle pulse wave velocity of physical examination people

目的了解健康体检人群睡眠质量状况，探讨睡眠质量与臂-踝脉搏波传导速度的关系。方法采集892例健康体检人群的匹兹堡睡眠质量指数量表（PSQI）、臂-踝脉搏波传导速度（baPWV）的测定结果。根据PSQI结果将体检人群分为睡眠异常组（284例）和睡眠正常组（608例）。结果⑴31.84%的体检人群存在睡眠质量问题。⑵女性群体的PSQI总分、主观睡眠质量、睡眠时间、日间功能障碍因子得分与男性群体比较差异有统计学意义（t＝6.71，3.46，2.45，3.96，P〈0.05）。不同年龄组间PSQI总分、入睡时间、睡眠效率、应用催眠药物因子差异有统计学意义（F＝12.23，8.31，7.50，7.11，P〈0.05）。⑶睡眠异常组的baPWV值高于睡眠正常组（t＝5.14，P〈0.05），baPWV与PSQI总分、主观睡眠质量、睡眠时间、睡眠效率、日间功能障碍呈正相关（r＝0.28，0.45，0.30，0.36，0.35，P〈0.05）。 结论有1/3的体检人群存在睡眠问题，女性群体的睡眠质量比男性群体差，不同年龄段睡眠问题表现不同，睡眠质量与臂-踝脉搏波传导速度密切相关。

ObjectiveTo investigate the sleep quality state of people who did physical examination, and its correlation with brachial-ankle Pulse Wave Velocity （baPWV）. MethodsThe indexes of Pittsburgh sleep quality index （PSQI） and baPWV were used. The people who did physical examination were divided into sleep disorders group （284 cases） and normal sleep group （608 cases） according to the results of PSQI survey. Results⑴ There were 31.84% of the people who had sleep quality problems. ⑵ The PSQI total score and the score of subjective sleep quality （SSQ）, sleep duration （Sdu）, daytime dysfunction （DD） of females were higher than males （t=6.71, 3.46, 2.45, 3.96, P〈0.05）. The PSQI total score and the score of sleep latency （SL）, habitual sleep efficiency （HSE）, use of sleeping medication （USM） among different age groups were statistically analyzed （F=12.23, 8.31, 7.50, 7.11, P〈0.05）. ⑶ The score of baPWV of sleep disorders group was higher than normal sleep group （t=5.14, P〈0.05）. There were significantly positive correlation between baPWV and total PSQI score, subjective sleep quality, sleep time, daytime dysfunction （r=0.28, 0.45, 0.30, 0.36, 0.35, P〈0.05）. Conclusions1/3 of the physical examination people have sleep quality problems. Sleep quality of females is worse than males. There are different styles among different age groups. There is significantly positive correlation between sleep quality and baPWV.